对临床护士患者安全文化认知及影响因素的调查研究  

Investigation of clinical nurses ’ perception of patient safety culture and its influencing factors

作　　者：黎雪梅[1] 李继平[1] 

机构地区：[1]四川大学华西医院护理部/临床医学院,成都610041

出　　处：《中华现代护理杂志》2014年第20期2463-2467,共5页Chinese Journal of Modern Nursing

摘　　要：目的：了解临床护士的患者安全文化认知现状及影响因素。方法使用汉化的“医院患者安全文化调查表”（Cronbach’sα系数为0．88）对378名临床护士进行调查。结果57．2％的临床护士对所在科室的患者安全总体评价为“优秀”（14．5％）或“很好”（42．7％），70．6％在过去的1年里没有事件报告。患者安全文化平均积极应答率为61％，人员配置、对错误的非惩罚性反应、科室间协作3个维度平均积极应答率分别为40．3％，44．2％，47．2％。多元回归分析显示，工作科室、岗位、直接接触患者与否、科室工作年限影响临床护士对患者安全文化的认知。结论临床护士有积极的患者安全文化认知，但还须在护理人力补充、非惩罚性安全文化建设、科室间协作、事件上报领域有针对性地加以改进，以确保患者安全。Objective To explore the attitudes and perceptions of clinical nurses for patient safety culture.Methods Using Hospital Survey on Patient Safety Culture （HSPSC） to measure twelve dimensions of patient safety culture , for 378 nurses in a hospital included in the cross-sectional study .Results Totals of 57.2%of clinical nurses gave “excellent” （14.5%） and “very good” （42.7%） for overall grade on patient safety of their units and an average percentage of positive response of patient safety culture was 61%.The nurses ’ positive response ratios to “staffing”,“non-punitive response to errors”,“teamwork across units” were respectively 40.3%, 44.2%, 47.2%,and most （70.6%） had no event report in the past one year .The perceptions of clinical nurses for patient safety culture were affected by work unit , staff position , direct interaction with patients or not , and years of unit working .Conclusions There is a positive attitude towards the patient safety culture within their units , but staffing , non-punitive safety culture , teamwork across units and event report are still should be strengthened .

关 键 词：患者安全文化 横断面研究 临床护士 积极应答 

分 类 号：R47[医药卫生—护理学]